Provider Demographics
NPI:1841643798
Name:LAWLER, THOMAS NICHOLS (DDS)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:NICHOLS
Last Name:LAWLER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2045 VILLAGE CENTER CIR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89134-6251
Mailing Address - Country:US
Mailing Address - Phone:702-878-5599
Mailing Address - Fax:
Practice Address - Street 1:2045 VILLAGE CENTER CIR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89134-6251
Practice Address - Country:US
Practice Address - Phone:702-878-5599
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-15
Last Update Date:2016-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV6807122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist